| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $479.86 | $2,448.66 | $3,428.12 | |
Providence
| Facility | $479.86 | $2,448.66 | $3,428.12 |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $479.86 | $2,448.66 | $3,428.12 | |
Providence
| Facility | $479.86 | $2,448.66 | $3,428.12 |